Account Service/Customer Service Rep

Quality Care Partners is hiring an Account Service / Customer Service Rep.

POSITION SUMMARY:
Responsible for answering members, employers, brokers and providers questions, implementing new third party administrators and groups, documenting complaints, and clarifying benefit changes or exclusions. Responsible for regular contact with employer groups, benefit representatives, company reps and other labor reps involved in evaluation and implementation of the health plan offerings.

RESPONSIBILITIES:
• Coordinate implementations of new partners, including TPAs, Stop loss carriers, and other affiliated companies.
• Handle implementation of all new groups.
• Responsible for keeping internal resources for current groups up-to-date.
• Create positive relationships with current partners and be primary contact for TPA group service reps.
• Analyzes consumer needs and determines how current services of QCP are meeting these needs, as well as gaining input from consumers in the development of new services.
• Follows up on all customer satisfaction information.
• Assist with satisfaction surveys.
• Assist with maximizing community physician awareness and overall image of QCP.
• Understands benefit design and reinsurance market as well as fully insured industry trends
• Creates positive relationships with medical communities surrounding QCP’s primary service area.
• Other duties as assigned.

REQUIRED QUALIFICATIONS:
Associate degree in health-related field, communications, sales and/or marketing preferred.
Experience in human resources, retail, insurance, customer service medical and/or service industry preferred. Advanced computer literacy and the ability to master computer programs used for this work. Flexibility and professionalism a must. Knowledge about federal and state insurance regulations.